Revenue Recovery Specialist – MVA

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🔥 30 minutes ago

🏈 Alabama, Arizona, +17 more states – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Logo of Knowtion Health

Knowtion Health

501 - 1000 employees

Founded 2008

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Private Equity Round on 2020-09

Consulting • Insurance • Logistics

Knowtion Health is a company that assists hospitals in handling denied and complex claims, recovering low balance accounts, and providing defense against payer audits. By leveraging advanced technology and a team of experts, Knowtion Health aims to maximize revenue and improve patient experiences. Their services include addressing clinical denials and managing various challenging payer classes, positioning them as a strong advocate for their clients in the healthcare sector.

📋 Description

• Resolve motor vehicle and health insurance claims for facility and physician bills • Manage an inventory of accounts in a team-based environment • Work new and priority accounts according to client protocols, including coverage investigation • Work aged and high-dollar accounts to ensure efficient recovery • Review accounts requiring substantive analysis by coding and utilization departments • Identify and resolve accounts involving multiple payers, including PIP, health, and third-party liability • Prepare and submit appeals with required documentation • Maintain clear, concise, and comprehensive account-resolution notation • Communicate professionally with payer representatives, patients, and attorneys through inbound and outbound calls • Learn and implement client-specific protocols and procedures • Identify recent payer-resolution trends and relay them to peers

🎯 Requirements

• High school diploma or GED • 1 to 3 years of experience with MVA claims and health claims preferred • Proven results in collecting on hospital claims from insurance companies • Experience reviewing EOBs for payment or denial reasons • Experience with Microsoft Word and Excel preferred • Experience with EPIC preferred • Ability to multi-task and prioritize work • Proficient use of web-based client and payer portals and notation databases • Professional communication with auto payers, health payers, patients, and attorneys • Must present a valid government-issued photo ID during screening and/or interviews • Applicants prioritized in AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, VA, WI, WV

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Life insurance • Short-term disability • Long-term disability • Bonus opportunities • Paid holidays • 401(k) • Generous PTO policy • Remote work • Dedicated, distraction-free workspace at home

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